European Health Cash Plan Quote
STEP ONE - SELECT COVER OPTIONS
* Indicates required field.
Please complete the boxes below to obtain
What is Your Country of Residence in the EEA?
How long have you lived there?
Please specify the currency in which you wish to pay your premium and receive benefits:
Select Type of Policy:
Where do you wish Cover to Apply:
Level of cover:
OPTIONAL ADD-ON BENEFITS:
Please select any optional add-on benefits you would like to purchase and state the number of units required.
These benefits will apply to all eligible adults and children on the policy as per the criteria below:
Personal Accident and Accidental Death (Item 16 in Policy Summary/Wording)
For each adult aged between 19 – 64: a maximum of 3 units may be purchased.
For each child aged under 19: a maximum of 1 unit may be purchased (with cover limits).
This benefit is not available to adults aged over 64
No of units (adults):
No of units (children):
Income in Hospital Benefit (Item 17 in Policy Summary/Wording)
For each adult aged between 19 - 64: a maximum of 3 units of £/€ 100 per day may be purchased.
This benefit is not available to adults aged over 64 or dependant children
No of units:
24 hour Emergency European Medical Assistance (Item 18 in Policy Summary/Wording).
Affiliate Code (if applicable):
Where did you hear about us?